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General contact form

WHAT ARE YOUR NEEDS?, LET US KNOW USING THE FORM BELOW.

Are you a patient ,doctor or Bussiness?

HAVE YOU EVER USED OUR SERVICE?

PATIENT

YES

DOCTOR

NO

BUSSINESS

OTHER

What is your interest in us?

DO YOU WANT US TO COMMUNICATE WITH YOU?

CLINICAL TESTS

YES

DRUG TESTS

NO

SAMPLE COLLECTIONS

Comments:

   Name:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

To contact us:

Phone: 787-833-0033
Fax: 787-805-2650
e-mail: jbaco@bacolabs.com